What To Know About Chemical Peel Hands

Chemical peels are a common method of removing the outer layer of skin to improve the appearance of the hands. Chemical peels can help with fine lines, wrinkles, age spots, and discoloration. You can choose from a variety of chemical peels based on your skin type and desired results. The most common types are alpha hydroxy acid (AHA) and trichloroacetic acid (TCA). AHA chemical peels are gentler than TCA chemical peels but require more treatments to achieve desired results. TCA chemical peels are more effective at increasing collagen production and smoothing out fine lines but can be more painful than other types of chemical peels.

Chemical peels may cause dryness or irritation after treatment but these side effects should go away within a few days or weeks depending on which type of peel you use. They also may cause redness or flaking in the first few days following treatment but again this should go away quickly if it doesn’t then call your doctor immediately because something could have gone wrong during treatment!

Chemical peels are considered to be the best way to restore and rejuvenate the skin. It is very effective in removing the dead skin cells from the face and other body parts of a person. Chemical peels are also known as lactic acid peels and Glycolic Acid peels and they deliver grime free moisturized skin. With this chemical peel, one can take a good care of his or her skin and maintain a young look all throughout life.

What To Know About Chemical Peel Hands

Glycolic acid is a skin-care heavyweight, showing up in exfoliating cleansers, toners, and masks. But what kinds of benefits can you get from a professional glycolic acid peel? If you’ve only ever used glycolic acid in your at-home skin-care products, you might be wondering what these popular treatments can do for you.

However, because highly concentrated acids like those used in peels can be irritating, they should be treated with care—and so should the outer layer of your skin. So we spoke to a few experts about what a professional glycolic acid peel entails and how to know if it’s the right treatment for you.

1. What is glycolic acid?

Glycolic acid is a colorless, odorless alpha-hydroxy-acid (AHA) derived from sugarcane. It’s a type of chemical exfoliant that dissolves the bonds between dead skin cells, allowing them to be wiped away easily, revealing smooth, younger skin below.

It’s actually the smallest naturally occurring AHA, Zeljka Kreptic, Ph.D., a lecturer in physical chemistry at the University of Salford, tells SELF. That means it can penetrate the skin more deeply and easily compared to other AHAs you might know, like lactic acid, which is why it is so commonly used.

AHAs like glycolic acid are water soluble, which means they dissolve in water. On the other hand, beta-hydroxy-acids (BHAs), such as salicylic acid, are oil soluble, meaning they dissolve in oil and can penetrate deeper into oily pores, Marisa Garshick M.D., board-certified dermatologist at the Manhattan Dermatology and Cosmetic Surgery Center, tells SELF.

But that doesn’t mean AHAs aren’t effective. If used correctly, as in a glycolic acid peel, they can be an easy way to get smoother, glowing skin.

2. Who should try a glycolic acid peel?

Do your skin concerns include managing hyperpigmentation or fending off fine lines and wrinkles? If yes, then a glycolic acid peel might be the treatment for you. Because it’s a powerful exfoliant, it can visibly reduce signs of aging and hyperpigmentation by weakening the connections between the cells in the top layer of the skin, which helps remove the dead skin cells, giving the skin a refreshed look and a glowing complexion.

More specifically, glycolic acid reacts readily with the upper layer of the skin, weakening the binding properties of the lipids that hold the dead skin cells together through a process called desquamation. That allows the outer skin to dissolve, subsequently revealing the underlying skin, Dr. Kreptic says.

These effects can be used to reduce the appearance of wrinkles, sunspots, melasma, and acne scars, Dr. Garshick explains. Regularly exfoliating can also help manage acne because it prevents pores from getting clogged.

When it comes to managing melasma, glycolic acid can be used to suppress the formation of melanin pigment in the skin. It does so by inhibiting the actions of tyrosinase, an enzyme that normally speeds up the complex process by which the pigment melanin is produced by certain types of skin cells. Slowing this process down results in less hyperpigmentation. But don’t expect to see results straight away; it normally takes between four and eight treatments before you see a significant difference.

3. Can you get a glycolic acid peel if you have acne-prone or sensitive skin?

We know that chemical peels can, over time, improve the appearance of some acne scars. But can you get them done if you have active acne? Yes! In fact, there’s some research to show that glycolic acid has antibacterial effects on P. acnes, the bacteria responsible for inflammatory acne.

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4. Can you get a glycolic acid peel if you’re pregnant?

Lower concentrations (up to about 10%) found in over-the-counter products that you can use at home are fine, Dr. Gershick says. But at higher concentrations, the acid makes its way deeper into the skin and possibly into the bloodstream.

There aren’t a ton of great studies about exactly how much glycolic acid gets into the bloodstream or what effects that might have during pregnancy. But the little research we do have suggests that, actually, the vast majority of the acid is absorbed by the skin—even in peels with high concentrations. Still, Dr. Garshick says these peels should generally be avoided while pregnant, just to be totally sure. You can talk it over with your ob-gyn and your dermatologist to figure out what makes sense in your unique situation.

5. What concentration of glycolic acid should you ask for?

There are three major types of glycolic acid peels, which differ based on both the concentration of the glycolic acid in the product being used and the amount of time that it stays on your skin, Debra Jaliman, M.D., a board-certified dermatologist based in New York City, tells SELF.

Here’s what to expect with each level of in-office peel:

Light: A light, or “superficial,” peel involves the use of 20% to 30% glycolic acid, which is applied for just a minute or two. This will only peel the surface layer of the skin, which is helpful for mild hyperpigmentation. A light peel doesn’t require any actual downtime, but you should refrain from using skin-care or makeup products for 24 hours after the peel to give your skin time to recuperate.

Medium: At this level, you can expect to receive a 35% to 50% concentration of glycolic acid for two to five minutes. With that application, the acid can penetrate into the papillary dermis (the uppermost layer of the dermis, which sits below the epidermis). Medium-depth peels can be helpful for melasma and hyperpigmentation as well as improving the skin’s overall texture. However, expect about a week of downtime (meaning your skin may be red and sensitive, and you’ll have to refrain from using makeup and certain skin-care products) with a medium-depth peel.

Deep: For deep peels, dermatologists use 55% to 70% glycolic acid, applied for at least three minutes and possibly up to 15 minutes. These peels can penetrate into the reticular dermis (the lower level of the dermis, below the papillary dermis). Deep peels can do everything that medium-depth peels can, as well as even improve the appearance of acne scars. Deep peels also typically require downtime of up to two weeks. This level of peel is usually reserved for treating deeper wrinkles or precancerous growths because it can come with serious side effects, including a risk for infection and scarring.

6. What happens during a glycolic acid peel?

In some cases the process starts before you even get to the office, as your dermatologist might recommended you use a retinoid and/or brightening cream in the days leading up to the peel to speed up the healing process and prevent hyperpigmentation after the procedure, Dr. Garshick says. But you should only do this if your derm tells you to, as in some cases it’s recommended that you actually avoid certain medicated creams before and after the treatment.

During the first stage of the actual treatment, the technician will cleanse the skin. Then the glycolic acid solution can be applied, being careful to protect your eyes and the corners of your nose and mouth. You may feel some mild tingling or stinging during the peel, which is completely normal and indicates that the acid is beginning to work. If you’re having a deep peel, you may actually be given local or regional anesthesia to numb your face while the chemical works.

After the required exposure time has passed, the glycolic acid is neutralized with water or another solution. The neutralizing agent can also be applied earlier if the skin is uniformly red (which would suggest your skin is too sensitive for the treatment) or if frosting (the skin turning white from the exfoliation) occurs, Dr. Garshick says. The end of the treatment is crucial in determining the result of the treatment, as glycolic acid needs to be neutralized to stop the reaction and any unwanted side effects.

Once the acid is off your face, your dermatologist will likely apply a cool compress to soothe your skin.

7. How should you care for your skin after the peel?

As noted above, the healing time can take anywhere between one and 14 days. During that time it’s important to be super gentle with your skin. That means avoiding any additional exfoliation, using only gentle skin-care products (if any), and always using sun protection.

Depending on the depth of your peel, your dermatologist may recommend using an ointment (like petroleum jelly) to keep the skin protected. If your skin is feeling tight or swollen (after a medium or deep peel), you may be able to use a fan or ice packs to help it feel better. You can also use over-the-counter pain medications like ibuprofen.

It’s also important to keep the skin hydrated and avoid steam rooms, saunas, and anything that can dry your skin out quickly. This includes washing your face with water that’s too hot—stick to using lukewarm water on your face, now and always.

8. What kinds of side effects should you expect?

The most common side effects include redness, irritation, scarring, and discoloration, but the potential side effects of a glycolic acid peel depend on the depth of the peel and your skin.

9. How long will it take to see results?

The general rule is that you’ll see results once your skin has fully healed. That depends on the depth of the peel, the concentration of glycolic acid used, and the amount of time you were exposed to the peel. Overall, it can take up to two weeks for new skin to develop.

But remember that in many cases it will take repeated treatments to see really noticeable results. And unfortunately, any results you see may not be permanent because your skin will continue to age, the AAD explains. And your skin’s personality will stay the same. For instance, if you’re prone to visible sun damage or acne-related hyperpigmentation, you will still be likely to experience those things after the peel.

10. How often should you get peels?

For most people, it’s recommended to do multiple peels to get the best results, usually between three and six treatments. But the amount of treatments that’s right for you depends on both your desired results and your budget. Peels can cost between $80 and $200 each, Dr. Garshick says, and that adds up quickly when you’re doing multiple treatments. It’s also good to remember that peels aren’t usually covered by insurance.

That makes it all the more important to have a thorough conversation with your dermatologist when deciding on a treatment regimen for your unique skin needs. They should also talk you through the recovery time and the possible side effects and complications of the treatment, which can vary from person to person.

And know that once you start the treatment, the course might change. It’s especially important to be mindful of how your skin is feeling after the first peel, which will clue you and your derm in to how well your skin can tolerate the acid and whether it can tolerate more peels. Over-exfoliating the skin can cause irritation and sensitivity, so it’s crucial to make sure you’re approaching the procedure with care.

Chemical Peel Process

They’ve maintained their popularity because they’re so effective, helping to reveal healthy, radiant, youthful-looking skin. But there still seems to be a lot of confusion surrounding how a chemical peel works and what the chemical peel process looks like day by day.

Here’s what you can expect before, during and after your chemical peel treatment.

What is a chemical peel, exactly?

Chemical peels are non-invasive cosmetic procedures that use a combination of powerful, skin-safe acids. These acids work together to break down the top few layers of the epidermis, exfoliating the skin and leaving behind the healthier layers underneath.

The chemical peel process takes anywhere from one to seven days, depending on how “heavy” of a peel you have performed. The chemical peel we offer at Skin Pharm is a medium-depth (or TCA) peel. This peel uses a mix of alpha and beta hydroxy acids (AHAs and BHAs, including lactic acid and salicylic acid), retinoic acid and trichloroacetic acid to achieve the final results.

What concerns do chemical peels tackle?

Chemical peels are excellent for taking on a variety of skin care concerns, including:

Chronic sun damage
Hyperpigmentation (brown spots)
Melasma
Scarring
Acne
Fine lines and wrinkles
Uneven skin tone or texture
Large, visible pores

While you’ll start to see results after a single chemical peel, the effects are cumulative, meaning maximum benefits are noticeable after a series of peels.

What should I do to prep for my chemical peel?

The prep for a chemical peel starts with timing. We recommend that you schedule your chemical peel at least two weeks before any major events, as the expected side effects are most noticeable during that period.

You want your skin to be as healthy as possible. A week before your appointment, you should avoid doing anything that irritates your skin. This includes tanning, laser procedures, waxing, using depilatory creams, tweezing and using skin care products with topical retinoids.

If you’re experiencing any rash or viral outbreaks on your face, you may need to reschedule your appointment. Doing a chemical peel with either of those factors can potentially worsen the issue.

How does the chemical peel application work?

Before your chemical peel day-to-day process starts, you’ll need to have your provider apply the treatment. People often have many concerns about what it will feel like to get a peel done and if it’ll hurt. We recommend scheduling a consultation before having a chemical peel to discuss what to expect and answer any questions you may have.

When you arrive at the clinic, the first step is to wash your face. Washing your face removes any layers of dead skin cells, makeup and other debris (like skin care products) that may still be sitting on your skin. The result is a clear surface, ready to accept the peel without any barriers in its way.

(Different skin care practices can perform different depths of chemical peels, and the “deeper” the peel, the more discomfort you are likely to feel.) Skin Pharm’s medium-depth chemical peel isn’t uncomfortable, though — most people describe the sensation as “tingling,” “warm” or “tight.” To help with any potential stinging during the treatment, we provide our patients with a handheld fan, too.

Day one post-chemical peel

After your chemical peel is complete and you leave the office, what should you expect on day one?

You’ll leave the clinic with the peel solution still on your face, and you’ll notice your complexion take on a yellow hue throughout the day. (Not to worry — this means it’s working!) After a few hours, you’ll apply the retinol crème your provider sent you home with.

You might notice some redness and sensitivity as the retinol gets to work. Many people describe the feeling as similar to having a sunburn. However, the telltale peeling that comes with a chemical peel won’t start for another day or so.

WHAT TO AVOID THE DAY OF YOUR CHEMICAL PEEL—

While your skin is still healing, keep a few factors in mind. Your skin is incredibly raw and sensitive, and it needs additional protection. To protect it and maximize your results, you should avoid any strenuous exercise or activities that lead to sweating.

In addition, try to stay out of the sun as much as possible and wear sunscreen (with at least an SPF of 30) if you can’t avoid it entirely.

You’ll also want to avoid letting your skin dry out. Although applying product to raw skin can feel uncomfortable, it needs moisture to heal. Allowing your skin to dry too much can lengthen the healing process and make it more likely that your skin will scab or even scar.

Day two post-chemical peel

Day two of the chemical peel process day to day is where you’ll likely start to see your skin peel. The top layers of your skin are beginning to dehydrate and slough off, and you’ll see this more often start between the eyes and in the corners of the nose and mouth.

Although it may be tempting, resist the urge to help your skin peel manually. Wash your skin gently and follow up with a stronger moisturizer, like Recovery Lotion.

For many people, the redness they experience in the first few days is enough to keep them home from work and social events. Expect that your skin will react this way, and don’t schedule anything significant in the few days directly after your chemical peel.

If you deal with breakouts, you may experience some “purging” of any blemishes present under the surface before your peel. While this isn’t common, it is possible to start with a new retinol skin care product.

Day three and four post-chemical peel

Day three and four are when you will likely experience the worst peeling and flaking. Your skin is most likely to feel uncomfortable these days — and it’s also at its most vulnerable. Follow your provider’s skin care recommendations carefully, as they are designed to help protect your skin and assist it with its natural healing process.

Now, more than ever, your skin needs to be protected. You may even want to wear a sun protective hat along with your sunscreen to make sure your skin stays safe and doesn’t burn. Doing that keeps your healing process moving forward.

Don’t be surprised if you notice more peeling in certain areas of your face than in others. This is normal and doesn’t indicate any problem with your skin’s healing process.

Day seven post-chemical peel

A week after your chemical peel is performed, you’ll finally be able to start seeing your results. This is where all of the flaking, peeling and redness starts to pay off. (Professionals consider the results of a chemical peel permanent, so enjoy that new skin you’re starting to see!)

Depending on how well or quickly your skin is healing, you can usually return to your normal skincare routine a week or so after your chemical peel.

Make sure that your skin is completely done peeling before using any harsher or more abrasive skin care products, as the skin may still be sensitive. When your skin stops feeling as tight and dry, you should be ok to switch back.

Our post-chemical peel skin care routine is excellent for helping your skin to heal, but it isn’t meant for long-term use for most of our patients. Unless you have dry, sensitive skin, prolonged use can lead to breakouts or oily-looking skin.

One week post-chemical peel (and beyond!)

Your skin is far less flaky and sensitive by this point in your chemical peel journey. However, because your skin has gone through a process meant to safely “damage” your skin so that it looks better than ever, there may still be some noticeable healing going on.

More sensitive areas of your skin may start to crust and scab or even have a noticeable color change. Usually, this process is complete around two weeks after your chemical peel. However, some redness may persist for months, especially in hotter weather or when you exercise.

During a medium chemical peel: Your doctor will use a cotton-tipped applicator or gauze to apply a chemical solution containing trichloroacetic acid, sometimes in combination with glycolic acid. The treated skin will begin to whiten.

In case you’re not convinced by the incredible before-and-after photos of chemical peel clients, this guide exists to get you on the glowy-skin bandwagon. Keep reading to learn everything you need to know about chemical peels for acne scars.

What do chemical peels do?

Fun fact: Chemical peels do involve chemicals, but they don’t really involve peeling of skin. Instead, chemical peels consist of a solution that deeply exfoliates the outer layer of your skin. This causes the dead skin cells on your top layer of skin to rapidly shed, revealing the new, smooth layer underneath. On top of the exfoliation, chemical peels induce new collagen production, an important protein that makes up about 75% of your skin and keeps it looking young, tight, and fresh.

How do chemical peels work for acne scars?

Chemical peels reduce the appearance of acne scars by reducing overall hyperpigmentation, or areas of your skin with deeper or darker color. Chemical peels also smooth the outer surface of your skin, reducing any bumpy textures.

The exact mechanism of a chemical peel on your acne scars depends on the severity of your scarring, as well as the type of scarring. There are two types of acne scars: atrophic and hypertrophic. Atrophic acne scars are indented or depressed, while hypertrophic acne scars are raised.

Chemical peels are better at treating atrophic scars than hypertrophic scars, though a professionally administered series of chemical peels can potentially eliminate both types. Hyperpigmentation, while technically not a form of scarring, is the easiest form of post-acne skin trauma to treat with chemical peels.

What to expect during and after a chemical peel

At Rochester Laser Center, our aestheticians use SkinCeuticals chemical peels, which they customize based on your particular skin situation. Depending on the severity of your acne scars, your Rochester Laser Center aesthetician may recommend a light or mild chemical peel. Deep chemical peels generally aren’t recommended for acne scars.

At your appointment, you lie comfortably in a beauty chair while your aesthetician performs the chemical peel. Your aesthetician cleans your face and protects your eyes and hair. Then, the chemical peel solution is brushed onto your face. You may experience a tingling sensation and coldness. If your peel is more intense, you may feel a slight burning sensation, kind of like the way Icy Hot® feels when you apply it to sore muscles.

What happens after your chemical peel depends on the type of peel you received, plus your skin’s individual tolerance to it. Some patients experience redness and sensitivity, while others feel just fine. You may need a few days of downtime where you don’t get any direct sun exposure and you limit exercise. Don’t worry: Your aesthetician makes sure you leave the clinic feeling confident about how to take care of your skin after a chemical peel.

Chemical Peel For Hyperpigmentation

Hyperpigmentation is a medical term used to describe darker patches of skin from excess melanin production. This can be caused by everything from acne scars and sun damage to hormone fluctuations.

If you’re dealing with hyperpigmentation, know that you aren’t alone. Hyperpigmentation is a common skin condition, and there are a number of different treatment options available.

Keep reading to learn more about your options, including what to expect from procedures like microdermabrasion, and more.

Face acids
Face acids, or skin acids, work by exfoliating, or shedding, the top layer of your skin.

Whenever you exfoliate your skin, new skin cells emerge to take the place of the old ones. The process helps even out your skin tone and makes it smoother overall.

Many face acids are available OTC at beauty stores and drugstores. Popular options include:

alpha hydroxy acids, such as glycolic, lactic, citric, malic, or tartaric acid
azelaic acid
kojic acid
salicylic acid
vitamin C (in the form of l-ascorbic acid)
Who should try this?
Face acids work well for mild hyperpigmentation on fairer skin tones.

What products can you try?
Look for an acid content of 10% or lessTrusted Source. Higher concentrations can increase your risk of side effects and are best left to professional peels performed in-office.

Retinoids
Derived from vitamin A, retinoids are among some of the oldest OTC skin care ingredients used. Their small molecular structure allows them to penetrate deep into the skin and treat the layers below your epidermis.

Retinoids can come in either a prescription or OTC formula. However, OTC versions tend to be weaker. If you don’t see any results after a couple of months, talk with your dermatologist about the prescription retinoid tretinoin (Retin-A).

If you don’t already have a dermatologist, the Healthline FindCare tool can help you find a physician in your area.

Who should try this?
OTC retinoids may be safe for all skin tones, but you should double-check with your dermatologist if you have darker skin and plan on using these products long term.

It’s also important to note that retinoids are more often used to treat wrinkles than hyperpigmentation. This means that retinoids may not be the best first-line treatment.

What products can you try?
If you have multiple skin concerns, you may be interested in trying:

Differin Gel: Previously available by prescription only, this retinoid helps address both acne and hyperpigmentation.

Chemical peel
A chemical peel uses acids at stronger concentrations to treat the desired area of skin. They reduce the appearance of hyperpigmentation by removing the top layer of your skin (epidermis). Deeper versions may also penetrate the middle layer of your skin (dermis) to produce more dramatic results.

Although many chemical peels are available OTC, you might consider getting a professional-grade peel at your dermatologist’s office. These are more powerful, and they yield quicker results.

Due to their strength, in-office peels may also increase your risk for side effects. Talk with your dermatologist about your individual risks.

Possible risks with both at-home and in-office chemical peels includeTrusted Source:

redness
irritation
blistering
infection
scarring
allergic reaction
If you’re out in the sun on a regular basis, chemical peels may not be the best treatment option for you. Chemical peels cause your skin to be more sensitive to the sun’s rays.

If you don’t adequately apply sunscreen and use other UV protection, the sun may worsen your hyperpigmentation. You’ll need to take extra precautions for at least one week after your last chemical peel.

Who should try this?
Chemical peels may work if you have:

age spots
sun damage
melasma
blotchy skin
They also work best for fairer skin tones, and they may provide faster results than face acid products.

What products can you try?
If you’re looking for a professional-grade peel to use at home, consider a glycolic acid peel from Exuviance. This product may be used up to twice a week. It can also help reduce the appearance of wrinkles.

If you have a darker skin tone or want a stronger peel, talk with your dermatologist. They can discuss the professional peels that they have available and help you decide on the right peel for you.

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Laser peel (skin resurfacing)
A laser peel (resurfacing) treatment uses targeted beams of light to reduce hyperpigmentation.

There are two types of lasers: ablative and non-ablative.

Ablative lasers are the most intense, and they involve removing layers of your skin. Non-ablative procedures, on the other hand, target the dermis to promote collagen growth and tightening effects.

Ablative lasers are stronger, but they may cause more side effects. Both destroy elements in your skin to ensure that new skin cells grow back tighter and more toned.

Who should try this?
There isn’t a one-size-fits-all approach to skin resurfacing.

Ablative lasers may work better for people with fair skin. For some people, non-ablative versions may cause the skin to darken instead of lighten.

Your dermatologist will work with you to assess your discoloration and overall skin tone to select the best option for your skin.

Intense pulse light therapy (IPL)
IPL therapy is a type of non-ablative (fractional) laser treatment. Also known as a photofacial, IPL therapy stimulates collagen growth within the dermis. It usually requires multiple sessions.

IPL is used for overall pigmentation issues, but flat spots especially respond to this treatment. It may also help reduce the appearance of wrinkles, spider veins, and enlarged pores.

Who should try this?
According to the American Society for Dermatologic Surgery (ASDS), IPL works best for people with fair skin.

Microdermabrasion
Microdermabrasion is an in-office procedure used to treat hyperpigmentation that affects the epidermis only (superficial scarring).

During the procedure, your dermatologist will use a drill-like handheld tool with a wire brush or another abrasive attachment. The tool is then swiped across your skin to rapidly — but gently — remove the epidermis.

You may need multiple sessions to achieve your ideal result.

Who should try this?
Microdermabrasion works best on superficial scars. Your dermatologist can help you determine whether this treatment is right for you.

It also works well for people with fairer skin.

Dermabrasion
Dermabrasion also involves the removal of your epidermis, but its effects continue down to a part of your dermis.

While dermabrasion is sometimes used to smooth out wrinkles, the procedure has been historically used to address texture concerns. These include:

acne scars
age spots
chickenpox scars
injury scars
sun damage
As with microdermabrasion, your dermatologist will use a drill-like handheld tool with a wire brush or other abrasive attachment. They’ll move the tool across your skin to rapidly — but gently — remove your entire epidermis and the top part of your dermis.

Who should try this?
Dermabrasion may be a good option if you’re looking to decrease pigmentation at a faster rate than microdermabrasion.

It works best for fairer skin. However, further hyperpigmentation as a result of the procedure can occur with all skin types. The new patches of hyperpigmentation may lighten after about eight weeks.

Lightening creams
Lightening creams are over-the-counter (OTC) treatments that work with select ingredients to help decrease pigmentation. Many of these creams are available in stronger prescription forms.

They’re usually applied once or twice a day to help lighten the skin over time. Topical treatments for lightening also come in gel form.

Common ingredients found in OTC lightening products include:

licorice extract
vitamin B-3 (niacinamide)
Who should try this?
Lightening creams or gels work best for flat spots, such as melasma or age spots. They’re effective for patches of discoloration on most skin types.

Online retailers make it easy to access beauty and skin care products that you wouldn’t otherwise be able to access. You should only purchase products from retailers and manufacturers that you trust.

What products can you try?
OTC products are accessible (and sometimes more affordable) options for hyperpigmentation, but these can take longer than professional treatments.

Look for creams with ingredients like niacinamide.

The Food and Drug Administration (FDA) recommends using caution when purchasing OTC skin lighteners, as they may contain traces of mercuryTrusted Source.

What works best for each skin tone?
Skin tone can play a role in the intensity and length of hyperpigmentation treatments. As noted by Dr. Cynthia Cobb, DNP, APRN, WHNP-BC, MEP-C, people with fair, medium, and dark skin tones can use some of the same therapies, but people with darker skin need more time for the treatment to work.

Fair skin responds well to most hyperpigmentation procedures.

The following might be off limits if you tan easily or have darker skin:

high-beam lasers
IPL therapy
Medium skin tones may find the following options helpful:

chemical peels
microdermabrasion
Darker skin might benefit from:

glycolic acid
kojic acid
OTC lightening creams
microdermabrasion
lower-strength chemical peels
laser treatments, but only when used at lower intensities over a larger number of sessions
Topical treatments generally take longer to produce visible results. Patience is key with any treatment option.

Talk with your dermatologist
Your dermatologist can help you identify the cause of your hyperpigmentation and work with you to develop an appropriate treatment plan.

No matter what treatment you ultimately choose, it’s important to protect your skin from further sun damage and hyperpigmentation.

A chemical peel uses acids at stronger concentrations to treat the desired area of skin. They reduce the appearance of hyperpigmentation by removing the top layer of your skin (epidermis). Deeper versions may also penetrate the middle layer of your skin (dermis) to produce more dramatic results.

chemical peels are used to remove damaged skin cells, revealing healthier skin underneath
there are different types of peels: light, medium, and deep

Safety:

when conducted by a board-certified dermatologist, plastic surgeon, licensed healthcare provider, or trained skin care specialist, chemical peels are exceptionally safe
it’s essential to follow your provider’s postop instructions carefully

Convenience:

light chemical peels do not require much down time
medium and deep chemical peels can require two to three weeks of recovery time
the procedures can last anywhere from 30 minutes to 90 minutes

Cost:

the cost of chemical peels depends on the type of peel you get
the average cost of a chemical peel is $673

What are chemical peels?

Chemical peels are cosmetic treatments that can be applied to the face, hands, and neck. They’re used to improve the appearance or feel of the skin. During this procedure, chemical solutions will be applied to the area being treated, which causes the skin to exfoliate and eventually peel off. Once this happens, the new skin underneath is often smoother, appears less wrinkled, and may have less damage.

There are a number of reasons people may get chemical peels. They may be trying to treat a variety of things, including:

wrinkles and fine lines
sun damage
acne scars
hyperpigmentation
scars
melasma
uneven skin tone or redness

What type of chemical peels can I get?

There are three different types of chemical peels that you can get. These include:

Superficial peels, which use mild acids like alpha-hydroxy acid to gently exfoliate. It only penetrates the outermost layer of skin.
Medium peels, which use trichloroacetic or glycolic acid to reach the middle and outer layer of skills. This makes it more effective for removing damaged skin cells.
Deep peels, which fully penetrate the middle layer of the skin to remove damaged skin cells; these peels often use phenol or tricholoracetic acid.

How much do chemical peels cost?

Chemical peels are almost always considered a cosmetic procedure, and insurance rarely covers it. You’ll be paying for the procedure out of pocket. Your initial consultation visit, however, may be covered by insurance.

The cost of the procedure will vary depending on factors like location, expertise of the provider, and what type of peel you want to get. Light peels can cost as low as $150, and deep peels can cost $3,000 or more (specifically if it requires anesthesia, or in-patient stays). According to the American Society of Plastic Surgeons, the current average cost of a chemical peel is $673.

How is a chemical peel done?

Chemical peels are typically done in-office; deep peels may be done in an outpatient surgical facility. Before the procedure, they will likely have you tie back your hair. Your face will be cleaned, and eye protection like goggles or gauze may be applied.

Your doctor may numb the area with a topical anesthetic, especially if you’re receiving a deep peel. For deep peels, your doctor may also use a regional anesthetic, which will numb large areas. They are particularly likely to do this if you’re having your face and neck treated. For deep peels, you’ll also be given an IV, and your heart rate will be closely monitored.

Light peel

During a light peel a cotton ball, gauze, or brush will be used to apply a chemical solution like salicylic acid to the area being treated. The skin will start to whiten, and may have a slight stinging sensation. Once complete, the chemical solution will be removed or a neutralizing solution will be added.

Medium peel

During a medium chemical peel, your doctor will use a gauze, special sponge, or a cotton-tipped applicator to apply the chemical solution to your face. This may contain glycolic acid or trichloroacetic acid. A blue color may be added to the trichloroacetic acid, commonly known as a blue peel. The skin will begin to whiten, and your doctor will apply a cool compress to the skin. You may feel stinging or burning for up to 20 minutes. No neutralizing solution is needed, though they may give you a hand-held fan to cool your skin. If you’ve had the blue peel you will have a blue coloring of your skin that may last for several days after the peel.

Deep peel

During a deep chemical peel, you will be sedated. The doctor will use a cotton-tipped applicator to apply phenol to your skin. This will turn your skin white or gray. The procedure will be done in 15-minute portions, to limit the skin exposure to the acid.

How do you prepare for a chemical peel?

Before your procedure, you’ll first have a consultation with the skin care specialist. During this visit, they’ll help you determine what the best treatment option is for you. They’ll let you know the details about the specific peel you’ll be getting, and they’ll ask about anything that could interfere with the peel. This may include whether you’ve taken acne medication, and information about whether or not you scar easily.

Before a chemical peel, you must:

not use any type of retinol or retin-A topical medication for at least 48 hours
inform your skin care specialist about any medications you take
not have been on Accutane for at least six months

Your doctor may also recommend that you:

take an antiviral medication if you have a history of fever blisters or cold sores to prevent a breakout around the mouth
use special lotions to improve treatment, like glycolic acid lotion
use a retinoid cream to prevent skin darkening
stop waxing, epilating, or using depilatory hair removal products the week before the peel. You should also avoid hair bleaching.
stop using facial scrubs and exfoliants the week before the peel.
arrange for a ride home, especially for medium or deep chemical peels, which will require you to be sedated.

If your doctor prescribes a painkiller or sedative, take it according to their instructions; you’ll likely have to take it before you come to the office.

What are the risks and possible side effects of a chemical peel?

Common side effects are temporary, and include redness, dryness, stinging or burning, and slight swelling. With deep peels, you may permanently lose the ability to tan.

Chemical peels can, however, have more serious risks and dangerous side effects that can be permanent. These include:

Darkening or lightening of the skin color. These can be more common in people with darker skin.
Scarring. This can be permanent.
Infections. People with herpes simplex may experience flares following a treatment. Very rarely, chemical peels can cause fungal or bacterial infections.
Heart, liver, or kidney damage. The phenol used in deep peels can actually damage the heart muscle, kidneys, and liver, and cause irregular heartbeats.

What to expect after

Recovery time varies depending on which chemical peel you received.

Light chemical peels

Recovery time is about four to seven days. Your skin may temporarily be lighter or darker.

Medium chemical peels

Your skin will recover about five to seven days after a medium chemical peel, though you may have redness that persists for months. Your skin will initially swell, and then form crusts and brown blotches before revealing new skin.

Deep chemical peels

Deep chemical peels will cause severe swelling and redness, with burning or throbbing sensations. It’s common for the eyelids to swell shut. It will take about two weeks for the new skin to develop, though white spots or cysts may last several weeks. It’s common for redness to last for several months.

During recovery, follow your doctor’s postop instructions faithfully. They’ll give you specific instructions for how often to wash your face and moisturize, and which products you should use to do so. Try to stay out of the sun until your skin has healed, and avoid using makeup or other cosmetics until your doctor gives you the go-ahead. You can use ice packs for 20 minutes at a time, or a cool fan, to help relieve discomfort at home.

COSMETICS ENVOGUE

COSMETICS ENVOGUE

What To Know About Chemical Peel Hands

1. What is glycolic acid?

2. Who should try a glycolic acid peel?

3. Can you get a glycolic acid peel if you have acne-prone or sensitive skin?

4. Can you get a glycolic acid peel if you’re pregnant?

5. What concentration of glycolic acid should you ask for?

6. What happens during a glycolic acid peel?

7. How should you care for your skin after the peel?

8. What kinds of side effects should you expect?

9. How long will it take to see results?

10. How often should you get peels?

Chemical Peel Process

What is a chemical peel, exactly?

What concerns do chemical peels tackle?

What should I do to prep for my chemical peel?

How does the chemical peel application work?

Day one post-chemical peel

Day two post-chemical peel

Day three and four post-chemical peel

Day seven post-chemical peel

One week post-chemical peel (and beyond!)

What do chemical peels do?

How do chemical peels work for acne scars?

What to expect during and after a chemical peel

Chemical Peel For Hyperpigmentation

Safety:

Convenience:

Cost:

What are chemical peels?

What type of chemical peels can I get?

How much do chemical peels cost?

How is a chemical peel done?

Light peel

Medium peel

Deep peel

How do you prepare for a chemical peel?

What are the risks and possible side effects of a chemical peel?

What to expect after

Light chemical peels

Medium chemical peels

Deep chemical peels

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